Individual
BRIAN N VICTOROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7200
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6749
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-054273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203728
UNISON
OH
01
—
000000503694
ANTHEM
—
01
—
0644818
AETNA
OH
05
—
0858826
—
OH
01
—
364097
WELLCARE
OH
01
—
738112
BUCKEYE
OH
01
—
P00011025
RAILROAD MEDICARE
OH
01
—
P00412645
RAILROAD MEDICARE
OH
Enumeration date
07/28/2006
Last updated
12/14/2020
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